Presentation of Case A 33-year-old woman was admitted to the hospital because of a question of a pituitary tumor. She was well until one year earlier, when she began to experience fatigue and occasional hot flashes. Discomfort appeared in the anterior region of the chest after exercise classes, and she took large doses of aspirin daily. During the next few months her menses became scantier but remained regular, with premenstrual molimina. Three months before admission epigastric burning pain developed; aspirin was discontinued, and cimetidine was administered, with improvement. A menstrual period was overdue by two weeks, but a pregnancy test.
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